N4A 2011 Conference: Pre-Conference Intensive

1. N4A 2011 Conference: Pre-Conference Intensive CMS Innovation Center & the Partnership for Patients John Michael O’Brien, PharmD, MPH Field Director – Partnership for Patients CMS Innovation Center

2. Why I’m Here

3. A Three-Part Aim Better Health for the Population Lower Cost Through Improvement Better Care for Individuals

4. The Innovation Center Affordable Care Act Legislation (Section 3021) • Center for Medicare & Medicaid Innovation (CMMI) tests models listed in Section 1115A of the Social Security Act • Tests of New Models to Meet Three-Part Aim • National Spread of Successful Models

5. The Innovation Center: Our Work • Patient Care Models: The right care, in the right setting, at the right time – every time • Seamless Care Models: Coordinating care to improve outcomes for patients • State Demos for Dual Eligibles • FQHC Medical Home Demo • Multi-payer Medical Home Demo • Medicaid Health Homes • Pioneer ACO & Advanced Payment Initiatives

6. The Innovation Center: Our Work • Community and Population Health Models: Keeping families and communities healthy • Obesity, Cardiovascular Disease, Smoking

7. The Innovation Center: Our Work

8. Partnership for Patients: Better Care, Lower Costs • Keep patients from getting injured or sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010.  • Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over the next three years. • Help patients heal without complication. By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that all hospital readmissions would be reduced by 20% compared to 2010.  • Achieving this goal would mean more than 1.6 million patients would recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge. Potential to save up to $35B over three years.

9. A True Partnership Current Partnership for Patients Pledges

10. From Raising Awareness to Getting Started • The Partnership for Patients has succeeded in its initial, awareness-raising phase. • Even as we build energy in the field, we are beginning to transition to a “getting started” phase. • Providing tools and supports to hospitals (e.g., Community Care Transitions Program) • Securing Commitments to action from key partners (June 16 national partner meeting) • Internally, we are proceeding rapidly with preparing the solicitations for the Innovation Center’s up to $500 million of programming to support hospitals.

11. The Hospital Experience: General Strategy • Deepen incentives and build national awareness, creating a groundswell for change from the public and other stakeholders. • Develop a national learning platform with content and expertise accessible to all. • Harness attention and energy to create a national network of learning and improvement that will support every hospital and help them master the basics of patient safety. • Propel a vanguard group to achieve unseen levels of performance. • Evaluate our progress as we go and introduce lessons learned.

12. The Hospital Experience: General Strategy National Content Developer New Knowledge from Advanced Participants Patient-Centered Input for Resource Development ExpertInput Hospital Engagement Contractor Patient & Provider Engagement Contractor Advanced Participant Network Contractor Best-in-class Learning for All Will from Patients & Families Safety Mentoring in Phase II Participating Hospitals & Providers

13. The Hospital Experience: General Strategy

14. The Hospital Experience: General Strategy Association X System X

15. The Hospital Experience: General Strategy A Association X A A A A A A A A A A A A A A A A A A A A A A A System X

16. The Hospital Experience: General Strategy A Association X A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A System X

17. The Hospital Experience: General Strategy Safety Data Evaluator A Association X A A A A A A A A A A A A A A A A A A A A A A A A A A A A National Content Developer A A A System X

18. Partnership • The aging network is an important partner • Join us on this journey to provide coordinated, seamless, reliable, and patient-centered care that is rooted in health, grounded in primary care, and economically sustainable. • CMS wants to support your transformation and work with you to improve care and reduce costs.

19. Thank You Questions? Suggestions? How can we work together? www.innovations.cms.gov